Read the case study below and answer the s: Scott… Read th
Read the case study below and answer the s: Scott… Read the case study below and answer the s: Scott Wentworth, a 22-year male, is being admitted to the inpatient psychiatric unit in which you work. He has a diagnosis of paranoid schizophrenia. His mother, who brought him into the hospital is able to provide the following information. Scott has been attending the local university and living at home with her and his dad. Scott has always been a good student and has been socially active. Last semester his grades began declining. He became very withdrawn and started spending most of his time alone in his room. His personal self-care has deteriorated as he can go days without bathing. Prior to admission, Scott spent several weeks in seclusion. He refused to join family gatherings, isolated himself, and closed the blinds. Within the past 2 days he refused to eat, stating, “They have contaminated the food.” As you approach Scott., you note that he appears to be talking to himself. When you talk to him, he looks around and answers in a whisper but gives you little information. He states, “They are watching me and told me not to cooperate.” s: 1. Explain the NEGATIVE symptoms of schizophrenia. Identify at least 3 negative symptoms Scott is experiencing. 2. Explain the POSITIVE symptoms of schizophrenia. Identify at least 1 positive symptom Scott is experiencing. 3. List the 5 types of schizophrenia. According to the information provided by Scott’s mother, what symptoms support his diagnosis of paranoid schizophrenia? 4. What nursing interventions related to this client’s current status should be included in his plan of care? (Select all that apply) 4 options: Protect him from harm to self and others. Create a supportive and structured environment. Engage in supportive and directive communications. Establish a relationship with the patient in which he feels safe. Provide treatment as ordered to stabilize his acute symptoms. 5. Scott is prescribed antipsychotic medications with close monitoring in the inpatient setting. Explain the benefits of Atypical antipsychotic medications vs conventional antipsychotic medications. 6. Scott is started on olanzapine (Zyprexa). You inform him and his family about the common side effects of the second-generation (atypical) antipsychotics. What are the common side effects of second-generation antipsychotics such as olanzapine (Zyprexa)? Select all that apply. 6 options: Nausea Dry mouth Drowsiness Weight gain Tardive dyskinesia 7. Which conditions are a risk associated with second-generation antipsychotics, such as olanzapine? Select all that apply 7 options: Neuroleptic malignant syndrome Anticholinergic effects Severe dysrhythmias Hypertension Metabolic syndrome 8. As you go in to give Scott his medication, he speaks to you in a hushed tone. “Is that a bird?” Before you can say anything, he asks, “Do you see that bird over my bed? She is telling me not to leave this room. If I move she will swoop down and try to peck at my eyes. Be careful!”Is Scott experiencing a delusion or a hallucination? Explain your answer. 9. Identify the appropriate nursing response you would state to Scott. Select all that apply. 9 options: “There is no bird over your bed.” “Tell me more about what you are seeing.” “I’ll come back to talk to you when you are settled down.” “The voice you are hearing is part of your illness, it can’t hurt you.” “I don’t see a bird over your head, I can understand how that would be upsetting to you.” 10. After 2 weeks of inpatient therapy, Scott is discharged back to his parents’ home and is enrolled in a day treatment program. He and his parents attend family therapy sessions twice a month. He hopes to move to a halfway house in the community.I learned valuable information about schizophrenia during this unit? 10 options: True False Health Science Science Nursing
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